Etown Addiction Solutions, LLC

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

ETOWN ADDICTION SOLUTIONS, LLC

Practice address

2645 Leitchfield Rd Ste 104
Elizabethtown, KY 42701-8306

Phone

(270) 234-8180

NPI assigned

Apr 17, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jay Higham

Title

Ceo

Phone

(214) 365-6112

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Opioid treatment program

Medicare-enrolled since Jan 1, 2020

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• DRD Management, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Columbia, MO
  • NPI 1366603623

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth J Payne, M.D.

  • Obstetrics & Gynecology Physician
  • Louisville, KY
  • NPI 1518079649
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735171200000",
    "number": "1083148076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 897",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837010897",
            "telephone_number": "208-367-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 LEITCHFIELD RD STE 104",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427018306",
            "telephone_number": "270-234-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETOWN ADDICTION SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-17",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A",
        "authorized_official_last_name": "HIGHAM",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-365-6112"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Eriksen, DMD
• William C Eriksen, D.C.
• Erin Bryant Aprn PLLC
• Tara Renee Essex
• Victoria Etherton
• Etown Dentistry Dre LLC
• Etown Family Practice PLC
• Etown Infusion Pharmacy LLC
• Etown Infusion Pharmacy LLC
• Etown Pharmacy LLC

• Methadone Clinic in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Methadone Clinic in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.